Organization Active NPI

Knowledge Tree, LLC

  • Specialist
  • Fairview, OK
National Provider Identifier
1699083972
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KNOWLEDGE TREE, LLC
Practice address
2004 Commerce
Fairview, OK 73737-9620
Phone
(580) 822-0105
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonya Randall
Title
Chief Operating Manager
Phone
(580) 822-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2004 Commerce
Fairview, OK 73737-9620

Mailing address

PO Box 165
Fairview, OK 73737-0165

National Provider Directory

National Provider Directory

Locations

2004 Commerce St
Fairview, OK 73737
Phone (580) 822-0105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1699083972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737370165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 COMMERCE",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737379620",
            "telephone_number": "580-822-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLEDGE TREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CHIEF OPERATING MANAGER",
        "authorized_official_telephone_number": "580-822-0105"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.